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    Ati Med Surg Fresno City College Final Proctored Exam

    A client with Guillain-Barré syndrome asks the nurse how recovery is possible if demyelination of the nerves is occurring. What is the best response by the nurse?

    Explanation & Rationale

    Rationale: A. Recovery is possible because medications can permanently repair the damaged nerves is incorrect because no medication directly repairs demyelinated nerves. Medications such as IV immunoglobulin (IVIG) or plasmapheresis help modulate the immune response but do not directly regenerate nerve tissue. B. Recovery is possible because the brain compensates for the loss of nerve function is incorrect because Guillain-Barré syndrome primarily affects peripheral nerves, not the central nervous system. While some neural plasticity exists, recovery depends mainly on peripheral nerve remyelination, not brain compensation. C. Recovery is possible because Guillain-Barré syndrome only affects the muscles, not the nerves is incorrect because the syndrome targets peripheral nerves, specifically causing demyelination, which results in muscle weakness. The muscles themselves are not the primary problem. D. Recovery is possible because the body can repair and regenerate damaged myelin is correct. In Guillain-Barré syndrome, the immune system attacks the myelin sheath of peripheral nerves, causing weakness and sensory changes. The body has the capacity to remyelinate nerves over weeks to months, which allows gradual recovery of function, often with the aid of supportive care and rehabilitation.

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